DR. ELISE C ALLEN (NPI# 1417012071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417012071 |
| Entity Type | Individual |
| Full Name | DR. ELISE C ALLEN |
| Other Name | DR. ELISE C JAECKEL |
| Credential | M.D. |
| Practice Address |
14040 Hospital Rd Boys Town NE 68010-7521 |
| Mailing Address |
555 N 30th St Omaha NE 68131-2136 |
| Practice Telephone | 4027786800 |
| Practice Fax Number | 4027786874 |
| Mailing Telephone | 4022808100 |
| Mailing Fax Number | 4022808103 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 22545 | NE | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
22545 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1000479 | 05 | |
| NE | 1000620 | 05 | |
| NE | BCBS BT | 02751 | 01 |
| NE | 1000288 | 05 | |
| IA | 2573105 | 05 | |
| NE | 1000572 | 05 | |
| NE | 1000578 | 05 | |
| NE | 100251710-00 | 05 | |
| NE | MIDLANDS CHOICE | 242241 | 01 |
| NE | BCBS ENT | 02756 | 01 |
| IA | 0573105 | 05 | |
| NE | 1000484 | 05 | |
| IA | 3573105 | 05 | |
| IA | 4573105 | 05 | |
| NE | 1000482 | 05 | |
| NE | 1000483 | 05 | |
| IA | 1573105 | 05 |
| Street Address |
14040 HOSPITAL RD |
| City | BOYS TOWN |
| State | NE |
| Zip Code | 68010-7521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023031036 | Thomas J Connolly | Orthopaedic Surgery | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-07-25 |
| 1942545629 | Winslow J Borkowski Jr. | Pediatrics | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2012-12-06 |
| 1629134929 | David H Sjulin | Otolaryngology | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-12-29 |
| 1730244310 | Jane M Emanuel | Otolaryngology | 14040 Hospital Rd, Boys Town, NE 68010 | 2006-12-26 |
| 1992860498 | Katherine A Prinz | Otolaryngology | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-12-26 |
| 1376608836 | Edward M Kolb | Anesthesiology | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-12-26 |
| 1366503674 | John P Sheehan | Orthopaedic Surgery | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-12-12 |
| 1760557235 | David M. Chait | Otolaryngology | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1649764234 | Sandra Andres | Counselor | 14092 Hospital Rd, Boys Town, NE 68010 | 2018-06-18 |
| 1689053456 | Jennifer Inbarasu | Psychiatry & Neurology | 14092 Boys Town Hospital Rd, Boys Town, NE 68010 | 2015-05-26 |
| 1467857763 | Kimberly Christine Alexander | Counselor | 14188 Mother Theresa Ln, Boys Town, NE 68010 | 2014-10-29 |
| 1205256500 | Kimberly D Mackey | Counselor | Boys Town National Research Hospital Rtc2, 14092 Hospital Road, Boys Town, NE 68010 | 2014-04-24 |
| 1922266030 | Rachel Marie Brabec | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2008-05-26 |
| 1598820912 | Shelly L Nykodym | Counselor | 14100 Crawford Rd, Boys Town, NE 68010 | 2006-12-26 |
| 1275600587 | Douglas F Spellman | Psychiatry & Neurology | 14092 Boys Town Hospital Road, Boys Town, NE 68010 | 2006-11-29 |
| 1548873656 | Carolyn Romano | Pharmacist | 14000 Hospital Road, Boys Town, NE 68010 | 2020-08-28 |
| 1952869463 | Megan Kathleen Richter | Counselor | 14092 Hospital Road, Boys Town, NE 68010 | 2019-03-05 |
| Find all providers in zip 68010 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538389366 | William Derek Leight | Otolaryngology | 14040 Boystown Hospital Rd, Boys Town, NE 68010-7521 | 2007-04-26 |
| 1629134929 | David H Sjulin | Otolaryngology | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-12-29 |
| 1730244310 | Jane M Emanuel | Otolaryngology | 14040 Hospital Rd, Boys Town, NE 68010 | 2006-12-26 |
| 1992860498 | Katherine A Prinz | Otolaryngology | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-12-26 |
| 1760557235 | David M. Chait | Otolaryngology | 14040 Hospital Rd, Boys Town, NE 68010-7521 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1992246656 | Omaha Facial Plastic Surgery PC | Otolaryngology | 17410 Burke St, Ste 200, Omaha, NE 68118-2245 | 2017-03-14 |
| 1710366018 | Brandon Wachal | Otolaryngology | 989250 Nebraska Medical Ctr, Omaha, NE 68198-3250 | 2015-05-20 |
| 1326435215 | Matthew W Miller | Otolaryngology | 981225 University of Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2015-04-19 |
| 1265724058 | Eugene Lee Son | Otolaryngology | Dept of Otolaryngolgy, 981225 Nebraska Medical Center, Omaha, NE 68198-1225 | 2011-05-11 |
| 1902113525 | John W Pflug Md, PC | Otolaryngology | 2114 S 109th St, Omaha, NE 68144-3105 | 2010-09-02 |
| 1922333954 | Donovan Byrne Foote | Otolaryngology | 1107 N Broadwell Ave, Grand Island, NE 68803-3755 | 2009-10-08 |
| 1962606137 | Brynn Elaina Richardson | Otolaryngology | 981225 Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2007-06-12 |
| 1255496766 | Richard Mack Tempero | Otolaryngology | 7205 W Center Rd Ste 103, Omaha, NE 68124-2387 | 2006-12-26 |
| 1306924220 | Thomas S Nabity | Otolaryngology | 704 N Alpha St, Grand Island, NE 68803-4318 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ELISE C ALLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.